在AV阻塞患者中,His捆和左捆分支区域节奏之间的新发病AHRE的中期比较
Catalin Pestrea1, Ecaterina Cicala1, Roxana Enache1
1Department of Interventional Cardiology Brasov County Clinical Emergency Hospital Brasov Romania.
Journal of arrhythmia
|February 5, 2025
概括
他的捆绑节奏 (HBP) 和左捆支部区域节奏 (LBBAP) 在心房阻塞患者中显示出类似的新心房高频发作 (AHRE) 率. 这一发现表明,这些节拍方法在心房律乱方面具有可比的安全性.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗器械 医疗器械
背景情况:
- 通过心脏植入的电子设备检测到的心房高频发作 (AHRE) 与心脏不良事件有关.
- 右心室节奏与新发病的AHRE的高发病率 (高达50%) 有关.
- 他的捆绑节奏 (HBP) 和左捆绑分支区域节奏 (LBBAP) 已经显示出与传统节奏相比减少AHREs的潜力.
研究的目的:
- 为了比较HBP和LBBAP之间新发AHRE的发病率.
- 评估HBP与LBBAP在预防心房失常症患者心房阻塞的疗效.
- 在接受HBP或LBBAP的患者中确定AHRE的预测因子.
主要方法:
- 这是一项前性研究,涉及142名患有先进心房阻塞且没有心房动病史的患者.
- 59名患者接受HBP治疗,83名患者接受LBBAP治疗.
- 对患者进行了随访,以确定他们的设备检测到的新发病的AHRE是否发生.
主要成果:
- 新发性AHRE的发生率在HBP组为13.5%,在LBBAP组为16.8% (HR 0.91,p=0.84).
- 两组的平均随访时间大约为644天.
- 多变量分析表明,只有年龄和糖尿病是AHRE的显著预测因素,而不是节奏类型.
结论:
- 在心房阻塞患者中,HBP和LBBAP显示器件检测的新发性AHRE的发病率相似.
- 在中期内,HBP和LBBAP似乎都是关于心房失常症负担的安全替代方案.
- 节奏策略 (HBP与LBBAP) 在这个患者队列中没有显著影响AHRE的发生.
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